Maureen W Heckman, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Bow, NH

NPI 1164533931 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1164533931
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0020 (NH)
Practice address
525 Clinton St
Bow, NH 03304-4609
Phone
(603) 225-4153
Fax
(603) 226-3354
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0020NHMDCase Manager/Care Coordinator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0020 NH Yes

Addresses

Primary practice location

525 Clinton St
Bow, NH 03304-4609

Mailing address

628 Reservoir Dr
Weare, NH 03281-4008
Phone (603) 529-7798

Other providers in Bow, NH

All providers in Bow, NH · Speech-Language Pathologist in New Hampshire

Sources for this page

Verify at the official NPI Registry.